MS-2014-01944_0001.tif CITYOFBLAIR
218 S. 16TH STREET
BLAIR, NEBRASKA 68008
(402) 426-4191 - Phone
Uilding Permit Application
(402) 426-4196 - FAX
MS-2014-01944 "0 /Se ot www.blairnebraska.org
M 7Re "i
2014 ShellyJ 771 SC dential August 7, 2014
LOCATION OFIMPROVEIVIENT: 1045 S 16th Ave, Blair, NE 68008
ARCHITECT:
Aspen Exteriors Inc
GENERAL
OV\NER: Thompson 2006 Joint Living Trust CONTRACTOR:
14245 St Francis Blvd 101
1045 S 16th Ave ramsey, MN 55303
BLAIR, NE 68008-9757
AN Affi-r-
11 01 a n
NO=
ism ME N
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w. mm"
NATURE OF WO:Z CTURE
Storm Repair Primary
PROJECT NAME PERMIT EXPIRES 08/06/2016
1045SI 6thAve-1 40806-2014 Storm Damage ESTIMATED COMPLETION DATE 1213112014
DESCRIPTION OF WORK
Siding
DEPOSIT PAID BY: SITE PLAN SUBMITTED: NA
Contractor
REScheck/CO M check SUBMITTED: NA
DEPOSIT STATUS: BUILDING PLANS SUBMITTED: NA
$50
1. No work will be started before a permit is ISSUED AND POSTED.
2. For commercial permits, a set of plans for this project must be submitted to the Nebraska State Fire Marshal's Office for review.
3. Separate permits are required for electrical, plumbing, heating, ventilating and air conditioning, and septic system.
4. The undersigned owner or agent understands and acknowledges this building permit application does not constitute issuance of
this building permit. It is further understood that construction covered by this permit application shall not be commenced until a
copy of a permit signed by the Building Inspector is issued.
5. The undersigned owner or agent agrees to perform the proposed work in accordance with the specifications set forth above and
in accordance with the codes/ordinances of the City of Blair and the State of Nebraska. Any omission of or misrepresentation of
fact with or without the intention of the undersjRned or any alteration or change from this application without approval of the
Building Official, shall constitute sufficient gMuV or the revocation of any permit issued which was based on the approval of this
applicatio
Date
Signature of Applicant